In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?

Video of a panel discussion examining the hindrances of NY's procurement rules and detailing how alternative" service delivery methodologies contributed to the success of both public and private projects in NY.

HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.

The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.

The plan identifies $16.9 billion in available funding, but a gap of about $15.2 billion remains unfunded. This CBC study focuses on how the money would be spent and recommends that the proposed plan be revised to address three serious shortcomings.

On October 1, 2014, the single-ride fare for the Port Authority Trans-Hudson (PATH)—the rail system connecting Newark, Harrison, Jersey City, and Hoboken to Midtown and Lower Manhattan—will increase by 25 cents. Many riders will complain, but the simple truth is that the higher fare is a fairer fare.

With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.

Three entities govern New York City's water and sewer system: the Department of Environmental Protection operates and maintains the system; the New York City Municipal Water Finance Authority (WFA) borrows to finance capital investments; and the Water Board sets rates for customers to meet financing needs. Learn more.

ClaimStat is an innovative, data-based method for analyzing judgments and claims against the City of New York in order to identify ways to reduce their cost. The Health and Hospitals Corporation (now H+H) has used this method with great results.